Individual provider · Type 1 NPI

John Michael Bozanich, DDS, MS

Periodontics · Santa Rosa, CA

NPI number 1629362363 Active

Practice location

2305 Mendocino Ave
Santa Rosa, CA 95403-3157

Call (707) 525-1500 Map

Fax (707) 525-0315

Mailing address

1822 Sherwood Ct
Santa Rosa, CA 95405-4660

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300X26498 (TX)
Periodontics Primary 1223P0300X103783 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1629362363

John Michael Bozanich, DDS, MS's National Provider Identifier is 1629362363, issued on May 29, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Santa Rosa, CA. The record was last updated on Jan 12, 2023.